Combined radiotherapy and surgery in the treatment of neck node metastases from squamous cell carcinoma of the head and neck

Morten Boysen, Oscar Lovdal, Ketil Natvig, Johan Tausjo, Anne Birgitte Jacobsen, Jan Folkvard Evensen

    Research output: Contribution to journalArticle

    10 Scopus citations

    Abstract

    A prospectively recorded series of 107 patients with clinical neck node metastases from head and neck squamous cell carcinomas, treated in 1983-1988, and with initial local control, is evaluated. Eighty-eight patients received preoperative, and were operated 4-6 weeks after radiotherapy, and 19 received postoperative radiotherapy. Forty-four of the neck specimens in the preoperatively treated patients showed vital tumor tissue, 7 with positive and 37 with negative resection margins. Nine of the latter 37 patients died due to regional recurrence. Twenty-three of the preoperatively treated patients had no palpable residual tumor following radiotherapy, but histological examination showed vital tumor tissue in five, of whom two had N1 neck disease. The overall regional failure rate was 19% Eleven patients (10% died from local recurrence and 11 from distant metastases. Forty-one patients (38% are alive without evidence of disease and three (3% alive with disease (mean observation time 30 months). Combined treatment is recommended for all cases of neck node metastases.

    Original languageEnglish (US)
    Pages (from-to)455-460
    Number of pages6
    JournalActa Oncologica
    Volume31
    Issue number4
    DOIs
    StatePublished - Jan 1 1992

    ASJC Scopus subject areas

    • Hematology
    • Oncology
    • Radiology Nuclear Medicine and imaging

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